| NPI | 1972396919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC PA200002289) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363AM0700X Physician Assistant, Medical | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-12-15 |